Active NPI
Michelle Marie McCloskey, MED
- Social Worker
- Phoenix, AZ
National Provider Identifier
1427111426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3623 E Goldfinch Gate LN
Phoenix, AZ 85044-4517 - Phone
- (602) 488-1294
- Fax
- (480) 704-2657
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3623 E Goldfinch Gate LN
Phoenix, AZ 85044-4517
Mailing address
3623 E Goldfinch Gate LN
Phoenix, AZ 85044-4517
Phone (602) 488-1294
Other names 1
- Michelle Marie Bruno
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427111426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3623 E GOLDFINCH GATE LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850444517",
"telephone_number": "602-488-1294",
"fax_number": "480-704-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3623 E GOLDFINCH GATE LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850444517",
"telephone_number": "602-488-1294",
"fax_number": "480-704-2657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOSKEY",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "MED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "BRUNO",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.